Individual
LADAWNA ELYNNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3482 HOLLENBERG DR, BRIDGETON, MO 63044-2429
(314) 614-1385
Mailing address
1749 GRAPE AVE, SAINT LOUIS, MO 63147-1434
(314) 614-1385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020000315
MO
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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